Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.58 / $5,201.00 / $11,627.00	Facility		$877.58	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.60 / $568.28 / $1,771.48	Professional		$479.60	$568.28	$1,771.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.19 / $546.15 / $963.80	Professional		$400.19	$546.15	$963.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $682.55 / $836.79 / $1,289.18	Facility		$682.55	$836.79	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.23 / $656.30 / $1,023.83	Professional		$501.23	$656.30	$1,023.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $637.53 / $949.77 / $21,571.00	Facility		$637.53	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.15 / $693.83 / $1,123.55	Professional		$470.15	$693.83	$1,123.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $949.77 / $949.77 / $1,059.09	Facility		$949.77	$949.77	$1,059.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $467.25 / $702.98 / $1,017.57	Professional		$467.25	$702.98	$1,017.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $413.58 / $719.29	Professional		$75.13	$413.58	$719.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,072.00 / $6,522.00	Facility		$1,981.00	$4,072.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $458.82 / $584.88 / $1,201.08	Professional		$458.82	$584.88	$1,201.08